Pathway for patients with suspected Breast Cancer Median Wait days Breast Cancer Ideal Pathway final 2ww referral received in secondary care Clinical examination imaging biopsies Is cancer confirmed or still suspected ID: 1045045
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1. 13 Days11 Days15 DaysTriple assessment – One Stop – Breast ClinicPathway for patients with suspected Breast CancerMedian Wait(days)Breast Cancer Ideal Pathway [final]2ww referral received in secondary careClinical examination imaging +/- biopsiesIs cancer confirmed or still suspected?Results discussed with patientHolistic and rehabilitation assessment. Proposed treatment plan/further treatment outlinedDischarge or follow up as per protocol16-18 years old – refer to Paediatric Oncology (GNCC) for treatment and TYA MDT for discussion19-24 years old – continue on tumour site specific pathway & refer to TYA MDT for discussion.Further diagnosticsNoHistology/scan results availableFurther investigations carried outInitial MDT discussion of investigation results, treatment & rehabilitation plan plus consideration for clinical trialsNoYesFurther diagnosticsYesAgreed proposed treatment plan, follow up or discharge with patientNoPrimary chemotherapySupportive palliative careSurgery +/- reconstructionPatient assessedMDT discussion to review histology & staging results also consider for clinical trialsFurther investigations required?Is adjuvant treatment required?Appropriate after careFurther investigations as requiredNoYesNoChemotherapyEndocrine TherapyRadiotherapyBiological AgentYesRelevant verbal and written information providedProvide ongoing psychological support & assessmentAllocate Breast Care Nurse / Key WorkerSee TYA pathwayInform patient’s GP of serious diagnosisSee Breast Rehabilitation Care Pathway liaise & involve healthcare professional as requiredDecision to TreatFirst TreatmentEarliest Clinically Appropriate Date (ECAD) for commencement of subsequent treatmentArrange further biopsies/imagingChemotherapySurgeryRadiotherapyEndocrine therapyBisphosphonatesBiological agentsYesFirst Seen011594420 DaysPrimary endocrine therapy*Inter Provider TransferNetwork Best Practice31* Less than 1% of breast patients receive treatment at different Trusts